Obsessive-compulsive personality disorder

Obsessive-compulsive personality disorder (OCPD) is a mental healthcondition in which a person is preoccupied with rules, orderliness, and control.

Alternative Names

Personality disorder - obsessive-compulsive

Causes, incidence, and risk factors

OCPD tends to occur in families, so genes may be involved. A persons childhood and environment may also play roles.

Thisdisorder can affect both men and women. It most often occurs in men.

Symptoms

OCPD has some of the same symptoms as obsessive-compulsive disorder (OCD).But people with OCD have unwanted thoughts, while people with OCPD believe that their thoughts are correct. In addition, OCD often begins in childhood while OCPD usuallystarts in the teen years or early 20s.

People witheither OCPDor OCDare high achievers and feel a sense of urgency about their actions. They may become very upset if other people interfere with their rigid routines. They may not be able to express their anger directly. People with OCPDhave feelings that they consider more appropriate, like anxiety or frustration.

A person withOCPD has symptoms of perfectionism that usually beginby early adulthood. This perfectionism may interfere with the persons ability to complete tasks, because their standards are so rigid. Theymay withdrawemotionally when they are not able to control a situation. This can interfere with their ability to solve problems and form close relationships.

Other signs ofOCPD include:

Over-devotion to work

Not being ableto throw things away, even when the objects have no value

Lack of flexibility

Lack of generosity

Not wanting to allow other people to do things

Not willing to show affection

Preoccupation with details, rules, and lists

Signs and tests

OCPD is diagnosed based on a psychological evaluationthat assessesthe history and severity of the symptoms.

Treatment

Medicines may help reduce anxiety and depression from OCPD. Talk therapy is thought to be the most effective treatment for OCPD. In some cases, medicines combined with talk therapyis more effective than either treatment alone.

Expectations (prognosis)

Outlook forOCPD tends to be better than that for other personality disorders. The rigidness and control of OCPD may prevent many of the complications such as drug abuse, which are common in other personality disorders.

The social isolation and difficulty handling anger that are common withOCPD may lead to depression and anxiety later in life.

Complications

Anxiety

Depression

Difficulty moving forward in career situations

Relationship difficulties

Calling your health care provider

Seeyour health care provider or mental health professional if you or someone you knowhas symptoms of OCPD.